Individual provider Active NPI

Jon Anthony Yokubaitis, M.D.

  • Ophthalmology Physician
  • Lake Charles, LA
National Provider Identifier
1427030352
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
09387R Issued in LA
Practice address
1767 Imperial Blvd
Lake Charles, LA 70605-5362
Phone
(337) 478-3810
Fax
(337) 478-6360
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 09387R LA Primary

Addresses

Primary practice location

1767 Imperial Blvd
Lake Charles, LA 70605-5362

Mailing address

1767 Imperial Blvd
Lake Charles, LA 70605-5362
Phone (337) 478-3810

Other identifiers 4

IdentifierTypeStateIssuer
180046392OtherLARAILROAD MEDICARE
5508154OtherLAAETNA
1934542MedicaidLA
720680677015OtherLACIGNA

Other names 1

  • Dr. Jon Anthony Yokubaitis Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100526001107 LA Practitioner - Ophthalmology 1557450897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical Branch at Galveston, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Clinic a Professional Medical CorpGroup PAC ID 0941101307, 13 clinicians

Practice addresses (Care Compare)

1767 Imperial Blvd
Lake Charles, LA 70605-5362
Phone (337) 478-3810

Hospital & facility affiliations

  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060

Merit-based Incentive Payment System (MIPS)

Final score
89.86 of 100Reported as group
Quality
91.1
Improvement activities
40
Cost
78.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
09387RLAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Clinic a Professional Medical Corp. Ophthalmology CurrentSince Jun 3, 1969 Accepting new patients

Locations

210 W 5TH St
Deridder, LA 70634

801 S Pine St
Deridder, LA 70634
Phone (337) 462-0908

1767 Imperial Blvd
Lake Charles, LA 70605
Phone (337) 478-3810

2800 1st Ave
Ste C
Lake Charles, LA 70601
Phone (337) 439-1737

720 Cypress St
Sulphur, LA 70663
Phone (337) 625-8948

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1427030352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 IMPERIAL BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055362",
            "telephone_number": "337-478-3810",
            "fax_number": "337-478-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 IMPERIAL BLVD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055362",
            "telephone_number": "337-478-3810",
            "fax_number": "337-478-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOKUBAITIS",
        "first_name": "JON",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "09387R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180046392",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5508154",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1934542",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "720680677015",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JON",
            "last_name": "YOKUBAITIS",
            "middle_name": "ANTHONY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.